Dorsal Nasal Artery
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Dorsal Nasal Artery
The dorsal nasal artery is an artery of the face. It is one of the two terminal branches of the ophthalmic artery. It contributes arterial supply to the lacrimal sac, and outer surface of the nose. Structure Origin The dorsal nasal artery is one of the two terminal branches of the ophthalmic artery (the other being the supratrochlear artery). It arises in the superomedial orbit. Course and relations It passes anteriorly to exit the orbit between the trochlea (superiorly), the medial palpebral ligament (inferiorly). It gives a branch to the lacrimal sac before bifurcating into two branches: one branch anastomoses with the terminal (angular) part of the facial artery and is important for the blood supply of the face; the other travels along the dorsum of the nose to supply the outer surface of the nose, and forms anastomoses with its contralateral fellow, and with the lateral nasal branch of the facial artery. Distribution The dorsal nasal artery contributes arterial supply ...
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Supraorbital Artery
The supraorbital artery is a branch of the ophthalmic artery. It passes anteriorly within the orbit to exit the orbit through the supraorbital foramen or notch alongside the supraorbital nerve, splitting into two terminal branches which go on to form anastomoses with arteries of the head. Structure Origin The supraorbital artery arises from the ophthalmic artery. Course and relations It travels anteriorly in the orbit by passing superior to the eye and medial to the superior rectus and levator palpebrae superioris. It then joins the supraorbital nerve to jointly pass between the periosteum of the roof of the orbit and the levator palpebrae superioris towards the supraorbital foramen or notch. After passing through the supraorbital foramen or notch, it often splits into a superficial branch and a deep branch. Distribution The supraorbital artery contributes arterial supply to: the superior rectus muscle, superior oblique muscle, levator palpebrae muscles, periorbita, th ...
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Inferior Palpebral Artery
The medial palpebral arteries (internal palpebral arteries) are arteries of the head that contribute arterial blood supply to the eyelids. They are derived from the ophthalmic artery; a single medial palpebral artery issues from the ophthalmic artery before splitting into a superior and an inferior medial palpebral artery, each supplying one eyelid. Anatomy Origin A single medial palpebral artery issues from the ophthalmic artery before bifurcating into a superior and an inferior medial palpebral artery. The origin occurs near the trochlea of the superior oblique muscle. Course The medial palpebral arteries leave the orbit to encircle the eyelids near their free margins, forming a superior and an inferior arch, which lie between the orbicularis oculi and the tarsi. Anastomoses The superior medial palpebral artery anastomoses (at lateral angle of the orbit) with the upper lateral palpebral artery, and the zygomaticoorbital branch of the temporal artery. The inferior ...
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Medial Palpebral Ligament
The medial palpebral ligament (medial canthal tendon) is a ligament of the face. It attaches to the Frontal process of maxilla, frontal process of the maxilla, the lacrimal groove, and the Tarsus (eyelids), tarsus of each eyelid. It has a superficial (anterior) and a deep (posterior) layer, with many surrounding attachments. It connects the Canthus, medial canthus of each eyelid to the medial part of the Orbit (anatomy), orbit. It is a useful point of fixation during eyelid reconstructive surgery. Structure The anterior attachment of the medial palpebral ligament is to the frontal process of maxilla, frontal process of the maxilla in front of the lacrimal groove (near the nasal bone and the frontal bone), and its posterior attachment is the lacrimal bone. Crossing the lacrimal sac, it divides into two parts, upper and lower, each attached to the medial end of the corresponding tarsus (eyelids), tarsus of each eyelid. As the ligament crosses the lacrimal sac, a strong aponeuroti ...
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Trochlea Of Superior Oblique
The trochlea of superior oblique is a pulley-like structure in the eye. The tendon of the superior oblique muscle passes through it. Situated on the superior nasal aspect of the frontal bone, it is the only cartilage found in the normal orbit. The word ''trochlea'' comes from the Greek word for pulley. Actions of the superior oblique muscle In order to understand the actions of the superior oblique muscle, it is useful to imagine the eyeball as a sphere that is constrained – like the trackball of a computer mouse – in such a way that only certain rotational movements are possible. Allowable movements for the superior oblique are (1) rotation in a vertical plane – looking down and up (''depression'' and ''elevation'' of the eyeball) and (2) rotation in the plane of the face (''intorsion'' and ''extorsion'' of the eyeball). The body of the superior oblique muscle is located ''behind'' the eyeball, but the tendon (which is redirected by the trochlea) approaches the eyeball fr ...
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Supratrochlear Artery
The supratrochlear artery (or frontal artery) is one of the terminal branches of the ophthalmic artery. It arises within the orbit. It exits the orbit alongside the supratrochlear nerve. It contributes arterial supply to the skin, muscles and pericranium of the forehead. Anatomy It branches from the ophthalmic artery near the trochlea of the superior oblique muscle in the orbit. Origin The supratrochlear artery branches from the ophthalmic artery in the orbit near the trochlea of the superior oblique muscle. Course After branching from the ophthalmic artery, it passes anteriorly through the superomedial orbit. It travels medial to the trochlear nerve. With the supratrochlear nerve, the supratrochlear artery exits the orbit through the supratrochlear notch (variably present), medial to the supraorbital foramen. It then ascends on the forehead. Anastomoses The supratrochlear artery anastomoses with the contralateral supratrochlear artery, and the ipsilateral supraorbital ar ...
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Face
The face is the front of an animal's head that features the eyes, nose and mouth, and through which animals express many of their emotions. The face is crucial for human identity, and damage such as scarring or developmental deformities may affect the psyche adversely. Structure The front of the human head is called the face. It includes several distinct areas, of which the main features are: *The forehead, comprising the skin beneath the hairline, bordered laterally by the temples and inferiorly by eyebrows and ears *The eyes, sitting in the orbit and protected by eyelids and eyelashes * The distinctive human nose shape, nostrils, and nasal septum *The cheeks, covering the maxilla and mandibula (or jaw), the extremity of which is the chin *The mouth, with the upper lip divided by the philtrum, sometimes revealing the teeth Facial appearance is vital for human recognition and communication. Facial muscles in humans allow expression of emotions. The face is itself a highly ...
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Artery
An artery (plural arteries) () is a blood vessel in humans and most animals that takes blood away from the heart to one or more parts of the body (tissues, lungs, brain etc.). Most arteries carry oxygenated blood; the two exceptions are the pulmonary and the umbilical arteries, which carry deoxygenated blood to the organs that oxygenate it (lungs and placenta, respectively). The effective arterial blood volume is that extracellular fluid which fills the arterial system. The arteries are part of the circulatory system, that is responsible for the delivery of oxygen and nutrients to all cells, as well as the removal of carbon dioxide and waste products, the maintenance of optimum blood pH, and the circulation of proteins and cells of the immune system. Arteries contrast with veins, which carry blood back towards the heart. Structure The anatomy of arteries can be separated into gross anatomy, at the macroscopic level, and microanatomy, which must be studied with a microscop ...
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Lacrimal Sac
The lacrimal sac or lachrymal sac is the upper dilated end of the nasolacrimal duct, and is lodged in a deep groove formed by the lacrimal bone and frontal process of the maxilla. It connects the lacrimal canaliculi, which drain tears from the eye's surface, and the nasolacrimal duct, which conveys this fluid into the nasal cavity. Lacrimal sac occlusion leads to dacryocystitis. Structure It is oval in form and measures from 12 to 15 mm. in length; its upper end is closed and rounded; its lower is continued into the nasolacrimal duct. Its superficial surface is covered by a fibrous expansion derived from the medial palpebral ligament, and its deep surface is crossed by the lacrimal part of the orbicularis oculi, which is attached to the crest on the lacrimal bone. Histology Like the nasolacrimal duct, the sac is lined by stratified columnar epithelium with mucus-secreting goblet cells, with surrounding connective tissue. The Lacrimal Sac also drains the eye of debris and ...
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Ophthalmic Artery
The ophthalmic artery (OA) is an artery of the head. It is the first branch of the internal carotid artery distal to the cavernous sinus. Branches of the ophthalmic artery supply all the structures in the orbit around the eye, as well as some structures in the nose, face, and meninges. Occlusion of the ophthalmic artery or its branches can produce sight-threatening conditions. Structure The ophthalmic artery emerges from the internal carotid artery. This is usually just after the internal carotid artery emerges from the cavernous sinus. In some cases, the ophthalmic artery branches just before the internal carotid exits the cavernous sinus. The ophthalmic artery emerges along the medial side of the anterior clinoid process. It runs anteriorly, passing through the optic canal inferolaterally to the optic nerve. It can also pass superiorly to the optic nerve in a minority of cases. In the posterior third of the cone of the orbit, the ophthalmic artery turns sharply and medially t ...
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Superficial Temporal Vein
The superficial temporal vein is a vein of the side of the head. It begins on the side and vertex of the skull in a network of veins which communicates with the frontal vein and supraorbital vein, with the corresponding vein of the opposite side, and with the posterior auricular vein and occipital vein. It ultimately crosses the posterior root of the zygomatic arch, enters the parotid gland, and unites with the internal maxillary vein to form the posterior facial vein. Structure It begins on the side and vertex of the skull in a network () which communicates with the frontal vein and supraorbital vein, with the corresponding vein of the opposite side, and with the posterior auricular vein and occipital vein. From this network frontal and parietal branches arise, and join above the zygomatic arch to form the trunk of the vein, which is joined by the middle temporal vein emerging from the temporalis muscle. It then crosses the posterior root of the zygomatic arch, enters the sub ...
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Angular Vein
The angular vein is a vein of the face. It is the upper part of the facial vein, above its junction with the superior labial vein. It is formed by the junction of the supratrochlear vein and supraorbital vein, and joins with the superior labial vein. It drains the medial canthus, and parts of the nose and the upper lip. It can be a route of spread of infection from the danger triangle of the face to the cavernous sinus. Structure The angular vein is the upper part of the facial vein, above its junction with the superior labial vein. It it anastomoses with the supratrochlear vein, and the supraorbital vein. Its connection with the supraorbital vein forms the superior ophthalmic vein that drains through the orbit. This also connects it with the inferior ophthalmic vein and the cavernous sinus. These do not have valves. The angular vein itself may not contain valves. It receives the lateral nasal veins from the ala of the nose, and the inferior palpebral vein. The angular ve ...
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Facial Vein
The facial vein (or anterior facial vein) is a relatively large vein in the human face. It commences at the side of the root of the nose and is a direct continuation of the angular vein where it also receives a small nasal branch. It lies behind the facial artery and follows a less tortuous course. It receives blood from the external palatine vein before it either joins the anterior branch of the retromandibular vein to form the common facial vein, or drains directly into the internal jugular vein. A common misconception states that the facial vein has no valves, but this has been contradicted by recent studies. Its walls are not so flaccid as most superficial veins. Path From its origin it runs obliquely downward and backward, beneath the zygomaticus major muscle and zygomatic head of the quadratus labii superioris, descends along the anterior border and then on the superficial surface of the masseter, crosses over the body of the mandible, and passes obliquely backward, benea ...
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